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Missouri rates for HCPCS 72084

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.67 / $27.08 / $45.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.15 / $93.88 / $181.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.67 / $20.17 / $55.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.64 / $68.56 / $147.28
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.50 / $18.62 / $31.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.37 / $65.37 / $65.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $98.89 / $162.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.83 / $24.89 / $42.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.76 / $72.56 / $127.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.72 / $22.72 / $22.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $109.92 / $193.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.02 / $27.84 / $44.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.35 / $82.67 / $153.75
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.20 / $90.84 / $90.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $106.55 / $637.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.23 / $25.25 / $127.82
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.16 / $82.79 / $509.36
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.46 / $36.46 / $36.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.37 / $103.24 / $179.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.82 / $24.79 / $39.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.71 / $76.86 / $139.19